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Flashcards

RNC-OB certification

Hillary Bupp English 56 cards

Cards in this deck (56)

  1. 1What BP changes define gestational HTNRise in BP to 140/90 after 20 weeks
  2. 2What is the difference b/t GHTN and PRE EProtein is present with PRE E but not GHTN
  3. 3What is the difference b/t PRE E and EclampsiaPRE E becomes Eclampsia when a pregnant women has a grand mal seizure or becomes comatose and not other cause is known.
  4. 4What findings are observed in HELLP syndromeN&V, Jaundice, Elevated AST/ALT
  5. 5T/F the dx of PRE E is made when a pregnant women develops a BP of 140/90 mm Hg or higher with proteinuriaTRUE
    BP great then 140/90 x2 within 4 hours with 1 or more symptoms
  6. 6T/F Women with HELLP intially have marked BPsFalse
    women may present with symptoms of N&V (similar to gastroenteritis, or gall bladder)
  7. 7T/F Angiotensin-converting enzymes inhibitors antihypertensive medication are the drugs of choice for tx of chronic HTN during pregnancy IE catoprilFALSE
    These medication can cause fetal deformities or renal failure, and well as reduce placental profusion.
  8. 8T/F women with uncomplicated chronic HTN usually tolerate pregnancy wellTRUE
  9. 9T/F women with chronic HTN rarely have BP decline during pregnancyFALSE
    BP declines during pregnancy r/t decrease in vascular resistance
  10. 10what are come of the factors that increase the risk associated with chronic HTN during pregnancyCR clearence below 100ml/min, DM, development of gestation HTN, Lupus erythematosus
  11. 11what are some of the appropriate measures for a pregnant women with uncomplicated chronic HTNallow for spontaneous labor if it occurs before 41 weeks, use of narcotic analgesia during labor, tx for PRE E if BP rises and protein present
  12. 12signs of mag tox.slow resp. rate, loss of deep tendon reflexes
  13. 13T/F when a pt's bp is 160/105 it should be lowered to 130/80FALSE
    BP should be lowered as quickly as possible, however to 140/90 too low will decrease placental profusion.
  14. 14two types of diabetes in pregnancypregestational and gestational
  15. 15when is pregestational likely to occur in pregnancyprior to pregnancy, at conception, or during organogenisis (first 8 weeks during fetal organ development
  16. 16what occurs in the maternal body to cause fetal macrosomiaincrease maternal glucose
    (glucose enters into fetal system)
    increase fetal glucose
    increase in fetal insulin
    stimulates fat, increase in organ growth
  17. 17what risk are associated with diabetes in pregnancyPTL
    still birth
    macrosomia
    mother increased risk to develop diabetes later in life
  18. 18what hormones are associated with increased glucose in the motherHpL (human placental lactagon)
    cortisol
    Human growth hormone
    progesterone
    *these hormones allow for insulin resistance
  19. 19when are diabetic screens done in pregnancy26-28 weeks
  20. 20how are GTT screen donefasting for 8 hrs prior,
    sitting, no smoking
  21. 21what does the GTT measurevenous plasma glucose
  22. 22what are the ADA guidlines for OGTT testfasting 95mg/dl
    1 180mg/dl
    2 155mg/dl
    3 140mg/dl
  23. 23what is the modified White's classification for diabetes in pregnancychart that:
    consist of the Class (A-T)
    duration
    vascular disease
    and treatment
  24. 24what is the criteria for dx of GDM2 or more of the venous plasma glucose concentration met
  25. 25what is toxoplasmosisprozan toxoplasmosis gondil
  26. 26where is toxoplasmosis foundRaw meat
    human infected hand to mouth
    cat hunts infected bird, harbors the parasite and excretes in their feces. Human infected hand in mouth
  27. 27what are the effects of toxoplasmosisPTL
    IUGR
    microcephaly
    hydrocephaly
  28. 28how is HSV is transmitted to infantpassage through infected birth canal
  29. 29what are complication that may arise with HSVchorinretinitis
    microcephaly
    mental retardation
    seizures
    apnea
  30. 30what does TORCH stand forT=toxoplas
    O= other, gonorrhea, syphilis, varicella, HEPB, HIV
    R=Rubella
    C=CMV
    H=HSV
  31. 31what are the 3 key factors of a teratogenic1. crosses the placenta
    2. each may affect the developing fetus
    3. the effects each varies, depending on the developmental stage at time of exposure
  32. 32What is a bacterial-spirochete-treponema pallidum?SYPHILLIS
  33. 33How is syphilis transmitted to the fetusthrough the placenta
  34. 34what are the effect of syphilis on a fetusEffect may vary on gestation
    stillbirth
    IUGR
    Prematurity
  35. 35what is commonly referred to as Bacteria-Neisseria gonorrheaGonorrhea
  36. 36how is gonorrhea transmitted to the fetus/newbornthrough the birth passage
  37. 37what are complications from gonorrheapurulent conjunctivitis
    sepsis
    meningitis
  38. 38how is HPV transmitted to fetus/newbornthrough the birth passage
  39. 39fetal/newborn complications associated with HPVlaryngeal papillimata
  40. 40T/F is rubella a virusTrue
  41. 41how is rubella transferred to fetustransplacental transmission
  42. 42what is the most common result of rubella on a newbornhearing loss, and is progressive after birth, eye defects, cataracts, glaucoma, CNS abnormalities, and cardiac malfunctions
  43. 43what is CMVDNA of the HSV group
  44. 44how is CMV transmittedtransmitted horizontally by droplet infection, contact with saliva, and urine
    sexually transmitted
    newborn can contract through breast milk or mother's tears.
  45. 45CMV complications in newbornMicrocephaly
    chroirentinitis
    metal retardation
    seizures
    apnea
  46. 46what are neonatal affects with perinatal HIV transmissionlow CD4
    chorio
    Preterm delivery
  47. 47what labor precautions are taken to reduce transmission to the fetusNO AROM
    No FSE
    avoid epis
    avoid VAVD
  48. 48what is given 6 weeks after delivery for a HIV infected patientZDV and AZT
    (orally)
    *Zidovudine (ZDV), also known as azidothymidine (AZT), is an antiretroviral medication used to prevent and treat HIV/AIDS.
  49. 49Second hand smoke affects the placenta bydecrease uterine artery contractility, placental growth, placenta attachment, and amniotic fluid production.
  50. 50what are the pharm classes for pregnancyA, B, C, D, X
  51. 51T/F a first time viral exposure if more dangerous then a repeated exposure during pregnancyTRUE
  52. 52can a TB positive mom breastfedno must be delayed until treatment is has begun and considered non-contagious, may take up to 2 weeks after meds have been started
  53. 53What infection that has a "fishy odor" can cause PTL, increase risk for chorio, and PP endometritis.BV
  54. 54Recommended maternal tx for BVMetronidazole, 500 mg BID for 7 days
    or
    metronidazole 0.75% vaginal gel 5mg for 5g days
    or
    clinda 2% vaginal cream 5g for 5 days
  55. 55sexual transmission does or does not play a role in a positive BV dxdoes not
  56. 56pt dx with BV is at an increased risk for endometritis with a vaginal delivery or c/sc/s

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Flashcards on RNC-OB certification , created by Hillary Bupp on 18/02/2019.
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Hillary Bupp
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